El patólogo intervencionista. Punción aspiración con aguja fina «ecoguiada» realizada por citopatólogo. Una realidad en España

Rivas, Héctor Enrique Torres; Fernández, Luis Manuel Fernández

doi:10.1016/j.patol.2016.10.002

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…However, such multidisciplinary collaboration is not always possible owing to overloaded work schedules. We recommend that the entire procedure be performed by an interventional pathologist to ensure resource optimization for better diagnostic accuracy 5,7,8 . In our case, the therapeutic decisions supported by prompt and accurate diagnosis of AG prevents unnecessary surgeries, with the institution of a specific treatment strategy whenever possible, or at least improves patients' symptoms 3,11 …”

Section: Discussionmentioning

confidence: 94%

“…A limitation of FNA as a diagnostic tool for AG is that heterogeneous involvement of the gland can affect diagnostic accuracy of this method 2 . Therefore, US‐FNA is recommended in cases of heterogeneous thyroid lesions 7,8 to ensure acquisition of adequate tissue samples across different areas that could be representative. Moreover, ROSE can confirm the validity of the samples.…”

Section: Discussionmentioning

confidence: 99%

“…Although systematic work in which US‐FNA plus ROSE is performed, and this procedure has shown significant diagnostic accuracy and cost effectiveness, currently, its application is not widespread in routine clinical practice. The most common working model includes an interventional specialist (endocrinologist or radiologist, among other such physicians) who performs US‐FNA and occasionally a pathologist or cytotechnician who performs the ROSE 5,8 . However, such multidisciplinary collaboration is not always possible owing to overloaded work schedules.…”

Section: Discussionmentioning

confidence: 99%

“…AG is rarely diagnosed using FNA 2,9,11,12 . Notably, an interventional pathologist plays an important role in outlining a methodology that improves the diagnostic accuracy of the process 5‐8 …”

Section: Discussionmentioning

confidence: 99%

“…Reportedly, fine‐needle aspiration (FNA) has shown high diagnostic value in patients with thyroid lesions (including AG) 5 . Interventional pathologists, 6 trained in the use of ultrasonographic equipment optimize the thyroid FNA procedure using US‐FNA with rapid onsite evaluation (ROSE) to ensure optimal sample acquisition (with regard to quality and quantity) for accurate diagnosis of AG 5,7‐9 …”

Section: Introductionmentioning

confidence: 99%

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Amyloid goiter diagnosis by ultrasound‐guided fine needle aspiration performed by interventional pathologist

Celis-Pinto

Rivas

Fernández

et al. 2020

Diagnostic Cytopathology

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Amyloid goiter (AG) (primary or secondary) is extremely rare. An abdominal fat pad core needle biopsy (CNB) is the diagnostic gold standard for secondary amyloidosis. Although CNB is useful to detect amyloid infiltration of a specific organ, fine‐needle aspiration (FNA) is proven to be the best diagnostic method for thyroid disorders. Guidelines recommend an ultrasound‐guided FNA (US‐FNA) whenever possible. This procedure is usually performed by various interventional specialists, including pathologists, who perform the procedure in addition to validating the adequacy of the sample. We report a rare case of AG diagnosed using US‐FNA performed by a pathologist in a 39‐year‐old patient with systemic amyloidosis. US‐FNA performed by pathologists is a proven, less‐invasive, and cost‐effective tool that ensures acquisition of adequate specimens and reduces nondiagnostic rates of this procedure to ensure timely cytological diagnosis.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Amyloid goiter diagnosis by ultrasound‐guided fine needle aspiration performed by interventional pathologist

Celis-Pinto

Rivas

Fernández

et al. 2020

Diagnostic Cytopathology

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How do cytopathologists learn fine needle aspiration techniques? An international survey

Alcaraz‐Mateos,

Exposito‐Afonso,

Labiano‐Miravalles

et al. 2023

Cytopathology

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IntroductionFine needle aspiration cytology (FNAC) is a widely accepted diagnostic technique, but performance varies according to expertise. Little is known about variation in FNAC training practices worldwide. We surveyed pathologists using social media networks to determine FNAC training practices internationally.DesignPathologists were surveyed on questions related to FNAC simulation training using direct messaging on the Twitter and WhatsApp platforms. Survey responses over a period of 2 weeks were collected.ResultsIn total, 149 pathologists participated (96.1% response rate). The respondents came from 24 countries and 87 institutions. The majority of the pathologists (63.8%) performed FNAC directly on patients for the first time. Only 36.2% of them had simulation instruction during their training. It was performed on food items such as fruit (64.8%), surgical specimens (37.0%), autopsies (13.0%) and others (9.3%), including commercially available phantom simulators for ultrasound‐guided FNAC (US‐FNAC) (two pathologists).DiscussionMost pathologists did not receive formal training in a simulated environment, and of the pathologists who had simulation instruction, food items were commonly used for education. A few participants used a commercial US‐FNAC simulator, but since most pathologists perform FNAC by palpation, this method of simulation training is not applicable to many practices. Social media is an effective and efficient way to perform survey research, yielding a very high response rate.

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Resident training in interventional pathology: Ultrasound‐guided fine‐needle aspiration and rapid on site evaluation—5 years of teaching experience in a single university hospital

Torres‐Rivas,

Fernández Fernández,

González Gutiérrez

et al. 2024

Cytopathology

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IntroductionDespite the established role of the interventional pathologist, their diagnostic performance is difficult to establish. At least in Spain training of pathology residents in ultrasound‐guided interventional procedures for specimen collection is limited or absent in most institutions. We present our teaching experience in the instruction of ultrasound‐guided fine‐needle aspiration (FNA) to pathology residents in a tertiary‐level hospital.Materials and MethodsThe training of pathology residents who rotated through the interventional unit of the pathology department and the application of ultrasound‐guided FNA and rapid on‐site evaluation (U‐ROSE) was documented over 5 years. The training period was broken down into learning phases and included the number of ultrasound‐guided FNA performed, anatomical location, and their diagnostic performance, among other aspects.ResultsNineteen (19) pathology residents were trained in U‐ROSE, and performed a total of 4003 procedures, with a mean of 211 per resident. In 53% of cases only one pass was required for an adequated sample. The specimen was diagnostic in more than 97% of cases. The most frequently sampled anatomical sites were the thyroid gland (n = 2347), followed by lymph node (n = 667), soft tissues (n = 663) and salivary glands (n = 322).ConclusionThe results support the training programme followed by pathology residents in learning U‐ROSE, which is essential to lay the foundations for the future interventional pathologist.

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El patólogo intervencionista. Punción aspiración con aguja fina «ecoguiada» realizada por citopatólogo. Una realidad en España

Cited by 5 publications

References 28 publications

Amyloid goiter diagnosis by ultrasound‐guided fine needle aspiration performed by interventional pathologist

Amyloid goiter diagnosis by ultrasound‐guided fine needle aspiration performed by interventional pathologist

How do cytopathologists learn fine needle aspiration techniques? An international survey

Resident training in interventional pathology: Ultrasound‐guided fine‐needle aspiration and rapid on site evaluation—5 years of teaching experience in a single university hospital

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